Hello.
I’m the director of Seoul Bardi Dental Clinic.
Most people think that implants are placed in the same number as the extracted teeth,
but in areas like the lower front teeth, where the space is narrow and relatively less force is applied,
depending on the condition, even if "2" teeth are extracted,
treatment may be possible with just "1" implant placement.
Today, I’ll explain a representative case like this,
centered on the case itself. ^^
Why is "placing one implant per tooth" not always the right answer for the lower front teeth?
How to Reduce Implant Costs in Gangdong-gu
The lower front tooth area is
narrower than the molar area,
and the spaces between tooth roots are also tight,
so there may not be enough room
for multiple implants.
In this case,
rather than placing two implants just because
two teeth were extracted,

you can also consider
placing just one implant
while taking into account both space and occlusion.
This can allow the narrow space to be used naturally.
A patient case of extracting 2 lower front teeth
and placing only 1 implant
How to Reduce Implant Costs in Gangdong-gu
This patient visited our clinic because the lower front teeth were loose.
The radiographic diagnosis showed that
the alveolar bone had been significantly resorbed overall,
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and as a result, there was insufficient support
for the tooth roots, causing the teeth to loosen.
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In addition, the root length supported by the bone was also very short,
so it was judged that the prognosis for maintaining the natural teeth was poor.
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So after 충분한 상담 with the patient,
we planned treatment with extraction followed by implants.
The patient also initially said,
"If two teeth are removed, do two implants have to be placed?"
But in this case, there were two key points.
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The patient was very concerned about cost 부담
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The alveolar bone in the lower front tooth area was relatively thin
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Placing two implants separately in a thin-bone area is not always impossible.
However, as the surgical scope becomes larger,
stress on the bone increases,
and in some cases, additional procedures may be needed.
So in this case,
implant 1 + 2 crowns
connection method was also explained as a treatment option.
This method is called a Cantilever.
What is a cantilever?
How to Reduce Implant Costs in Gangdong-gu
Simply put, a cantilever is a method where one implant is placed as the support,
and a prosthesis shaped like two teeth is connected on top of it.
In other words, the implant root is one,
and the top portion is two,
which are placed together.
In the past, when implants were not as common as they are now,
this was used more often.
A shape where two teeth are linked and one additional prosthesis is hung on the far end, rather than a bridge method that is anchored on both sides
These days, with the advancement of implant technology,
cantilevers are not generally chosen,
but if the space is narrow like the lower front teeth
and the occlusal force is not strong,
it can be a functionally stable design while reducing overtreatment.
However, it is not possible for everyone.
For people who grind their teeth, clench their jaw,
or whose front teeth receive a lot of force due to an edge-to-edge bite,
careful judgment is needed.
If one implant supports two teeth, the support has to be even more secure.
How to Reduce Implant Costs in Gangdong-gu
However, there is an important point here.
If only one implant is placed
and two crowns are connected,
then literally one implant root (fixture)
must support two prostheses.
So in this case,
rather than using a thin-diameter fixture like those commonly used for front teeth,
Used a larger-diameter implant
within the possible range,
we planned for a slightly wider-diameter fixture to ensure stability.
You can think of it as,
"reduce the number, but make the support more secure."
Time until the prosthesis was completed
How to Reduce Implant Costs in Gangdong-gu
After surgery, it took about 2 months
before the teeth could be placed.
This is because the implant needs time to settle stably into the bone,
so we proceed while checking the condition.
"Then do you go without teeth for those 2 months?"
Usually, the upper front teeth are visible when smiling,
so removable temporary dentures are often recommended.
But the lower front teeth are covered by the lips
and are relatively less visible,
so if the discomfort is not significant,
it is also possible to go without temporary teeth.
This patient also said,
"I don't think I really need a temporary denture,"
so we proceeded without making one.
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2 months later, the completed implant
2 teeth were extracted, but only 1 implant was needed? How to Reduce Implant Costs in Gangdong-gu
About 2 months later, the prosthesis was completed,
and even without placing two implants,
the lower front tooth line was naturally restored.
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The key point of this case is that
we reduced overtreatment by designing a plan that considered
both the patient's financial burden
and structural as well as functional stability.
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Even if two teeth are extracted,
placing two implants is not always the only correct answer.
Especially in cases like the lower front teeth,
where the conditions are borderline,
rather than "placing as many as possible,"
it is important to look at the current bone condition,
financial burden,
and structural stability together
and find the most reasonable method.
If your front teeth are loose,
or if your gums are swollen and bleeding,
it is best to first check your current condition.
Through an accurate diagnosis,
we will help you choose only the treatment that is truly necessary
and provide the most reasonable plan for you.
Thank you for reading this long post today. ^^
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How to Reduce Implant Costs in Gangdong-gu: Can You Place Only 1 Implant Even If 2 Teeth Were Extracted?
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| This post was written directly by Seoul Bardi Dental Clinic for the purpose of providing medical information in compliance with Article 56, Paragraph 1 of the Medical Advertising Act. The provided information is for reference only, and we recommend visiting a medical institution and receiving guidance from a medical professional for an accurate assessment of symptoms and proper management methods. All procedures/surgeries performed in the dental clinic may involve possible side effects depending on the individual (such as inflammation, bleeding, swelling, etc.). Please make decisions after sufficient consultation with the medical staff in advance. The treatment cases in this post were photographed with the consent of patients who completed treatment at our clinic, and the before-and-after photos were taken under the same conditions. |